Background: Metabolic syndrome (MetS) is a cluster of metabolic abnormalities including central obesity, hypertension, dyslipidemia, and impaired glucose tolerance. It is emerging as a major health problem in urban populations due to sedentary lifestyle, dietary habits, and increased stress. Aim: To assess the prevalence of metabolic syndrome and associated risk factors in an urban population. Methods: A cross-sectional study was conducted on 500 adults (age 20–60 years) living in urban areas. Anthropometric measurements, blood pressure, fasting blood sugar, and lipid profile were evaluated. NCEP-ATP III criteria were used for diagnosing metabolic syndrome. Results: The overall prevalence of metabolic syndrome was 32.6%, with higher prevalence in females (36.4%) than males (28.1%). Central obesity and hypertension were the most common components. Prevalence increased significantly with age. Conclusion: Metabolic syndrome is highly prevalent in urban populations, especially among middle-aged adults. Regular screening, lifestyle modifications, and public health initiatives are essential to prevent long-term complications.